Health

How to Make a Claim If You Have Multiple Health Insurance Policies

In India, the monsoons are just around the corner. This seasons tends to bring with it dangerous water-borne diseases like diarrhea and cholera.

According to popular belief, Coronavirus (COVID-19) cases are also going to peak in June 2002. Many researchers have even studied this fact. This is going to be a major cause for concern for many in our populous country.

If you believe that your existing health insurance policy is insufficient, you can always opt for a second one to meet your needs.

Is it possible to buy more than one health insurance plan?

Yes, it is possible in India to have more than one health cover. There can be many reasons to procure multiple covers.

For example, if the mediclaim offered by your employer is not enough, you may want to get another one for added protection. You may also opt for a new policy if your needs change and the old policy does not meet all your requirements.

Process of making multiple claims

If you have two health insurance plans in your name, you can claim the benefits from both insurers for the same cause.

For example, if you are hospitalized and the bill amount is higher than the sum assured of one insurer, you can claim the balance amount from the second insurer.

There are two kinds of claims, which are:

  • Cashless claims

When you make a cashless claim, the insurer settles the hospital bills directly.

If you make a cashless claim from one of your insurers and the bill amount his higher than the sun insured, you can make a reimbursement claim for the remaining amount from the second insurer. You will have to wait until the first claim process is complete before making the second claim.

You will also need to provide attested copies of the hospital bills and claim settlement summary from the first insurer.

  • Reimbursement claims

If the hospital does not provide the facility of cashless claims, you can make a reimbursement claim from your insurer.

Once the first insurer accepts your claim, you can ask the second insurer for reimbursement of the remaining amount.

While making the claim, you need to submit the hospital bill, discharge form, reports of any tests, details of your prescriptions, and the claim form.

How to make sure that your claim is accepted

Below are some tips to help ensure that your health insurance claim cannot be rejected by insurers.

  • Provide accurate information while buying health cover
  • Check the exclusions in your policy document to ensure that your condition is included in the cover
  • Submit all the required documents along with the claim form
  • Compare both your policies to determine which of the two insurers has a higher claim settlement ratio and proceed accordingly

If you have only one health cover and are considering buying an additional one, it is a smart idea to use a health insurance premium calculator to determine which available option suits your needs the best.